Organization
LP HODGENVILLE LLC
Active
Other names
Sunrise Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization
Contact information
Practice address
717 N LINCOLN BLVD, HODGENVILLE, KY 42748-1622
(270) 358-3103
Mailing address
717 N LINCOLN BLVD, HODGENVILLE, KY 42748-1622
(270) 358-3103
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
750086
KY
314000000X
Skilled Nursing Facility
Primary
100277
KY
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100194560
—
KY
05
—
7100199630
—
KY
Enumeration date
09/12/2011
Last updated
04/03/2023
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